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A comparison between propantheline and imipramine on bladder and salivary gland function
British Journal of Urology
|October 1, 1979
Summary
Propantheline and imipramine reduce bladder pressure in dogs, but only propantheline significantly decreases saliva. Imipramine
Area of Science:
- Pharmacology
- Urology
- Neuroscience
Background:
- Detrusor dysfunction can lead to urinary incontinence.
- Anticholinergic medications are often used to treat detrusor overactivity.
- The specific mechanisms of drugs like imipramine on bladder function require further elucidation.
Purpose of the Study:
- To investigate the effects of propantheline and imipramine on detrusor muscle function.
- To assess the impact of these drugs on salivary gland secretion.
- To determine if imipramine's action on the bladder is anticholinergic.
Main Methods:
- Experiments were conducted on anesthetized dogs.
- Pelvic nerve stimulation was used to assess detrusor muscle response (intravesical pressure).
- Electrical stimulation of the chorda tympani measured salivary gland secretion.
Main Results:
- Both propantheline and imipramine decreased the rise in intravesical pressure during pelvic nerve stimulation.
- Propantheline significantly reduced salivary gland secretion.
- Imipramine had a minimal effect on saliva production.
Conclusions:
- Imipramine's effect on the bladder does not appear to be mediated by anticholinergic pathways.
- Propantheline exhibits both detrusor inhibitory and significant antisalivary effects.
- These findings have implications for understanding and treating detrusor dysfunction.